Peer-Facilitated Decision Making in Mental Health: Promises, Pitfalls, and Recommendations for Research and Practice
Peer-Facilitated Decision Making in Mental Health: Promises, Pitfalls, and Recommendations for Research and Practice
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DOI：
10.1176/appi.ps.20220086
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发表时间：
2023-04-01
影响因子：
3.8
通讯作者：
Salzer, Mark S.
中科院分区：
文献类型：
--
作者：
Thomas, Elizabeth C.;Simmons, Magenta B.;Salzer, Mark S.
人们越来越认识到同伴支持工作者在促进精神疾病患者的治疗和康复决策方面发挥着重要作用。本文提供了文献中同伴促进决策支持干预的例子，讨论了与担任决策支持角色的同伴相关的承诺和潜在缺陷，并为研究和实践提供了建议。从文献中选择的例子是对患有严重精神疾病的人进行决策支持干预，如精神分裂症、双相情感障碍和重度抑郁症。承诺、陷阱和建议都是通过本研究和有关生活经验观点、帮助者治疗原则的文献，以及报告的同伴协助决策的障碍和促进者来告知的。根据纳入的研究，同伴可以通过几种方式促进决策（例如，询问服务使用者的目标或偏好，协助他们使用决策支持工具，分享故事，促进获取信息和资源）。同伴促进的决策支持可能与服务使用者和同伴支持工作者的积极决策和健康结果有关。然而，提供者需要仔细考虑实施这种支持的障碍，例如资源不足、整合不良和同伴支持价值的妥协。精神科服务2023；74:401 - 406;doi: 10.1176 / appi.ps.20220086
Recognition has grown that peer support workers serve an important role in facilitating decision making about treat-ment and recovery among people with mental health con-ditions. This article provides examples of peer-facilitated decision support interventions in the literature, discusses promises and potential pitfalls associated with peers serving in decision support roles, and offers recommendations for research and practice. Examples were selected from the literature on decision support interventions for people with serious mental illnesses, such as schizophrenia, bipolar dis-order, and major depression. Promises, pitfalls, and recom-mendations were informed by this research and by the literature on lived experience perspectives, the helper -therapy principle, and reported barriers to and facilitators of peers assisting with decision making. According to the included studies, peers may facilitate decision making in several ways (e.g., by asking service users about their goals or preferences, assisting them with using decision support tools, sharing stories, and facilitating access to informa-tion and resources). Peer-facilitated decision support may be associated with positive decision making and health outcomes for service users and peer support workers. However, providers need to carefully consider barriers to implementation of this support, such as inadequate resourcing, poor integration, and compromising of peer support values. Psychiatric Services 2023; 74:401-406; doi: 10.1176/appi.ps.20220086